Exam 1 Flashcards
What kind of support do cancer pts need?
Support groups, pt education,
Interrelated concepts of Cancer Tx
Nutrition, Immunity, Infection, Pain, Fatigue, elimination, fluid and electrolyte imbalance, anxiety, stress, coping, sexuality
What is therapeutic communication
Meets psychological needs of patient and allows for a relaxed and trusted environment in which to convey information
Characteristics of malignant tumors
Usually rapid growth, metastatic, irregular, little resemblance to parent tissue, invades (not crowds) normal tissue, may recur after Tx, fatal if not tx.
OSHA
Occupational Safety and Health Administration —a regulatory agency of the department of labor
Who and when for initial assessment on new admit
RN-within 24 hrs. LPN can do follow up
Jaundice signs and sx
Yellowing of skin and sclera
How to keep medication errors from happening
Identify root cause
Tx for cellulitis
Antibiotics PO or IV
Glasgow coma scale
15 is normal. Below 8 is brain damage
Glasgow coma assess what 3 areas
Eye movement, verbal, motor skills,
Pt self determination act of 1990
Patient Self Determination Act of 1990 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require hospitals, skilled nursing facilities, home health agencies, hospice programs, and health maintenance organizations to: (1) inform patients of their rights under State law to make decisions concerning their medical care; (2) periodically inquire as to whether a patient executed an advanced directive and document the patient’s wishes regarding their medical care; (3) not discriminate against persons who have executed an advance directive; (4) ensure that legally valid advance directives and documented medical care wishes are implemented to the extent permitted by State law; and (5) provide educational programs for staff, patients, and the community on ethical issues concerning patient self-determination and advance directives.
Directs the Secretary of Health and Human Services to: (1) arrange with the Institute of Medicine of the National Academy of Sciences for a study assessing the implementation of directed health care decisions; and (2) develop and implement a demonstration project in selected States to inform the public of the option to execute advance directives and a patient’s right to participate in and direct health care decisions.
What is Zovirax medication use
Treatment of Herpes and Shingles
What are benefits of wet to dry dressing
Prevents infection, heals inside out, debridement, promotes healing, keeps wound bed moist
4 basic processes needed for vision
Refraction, Accommodation, Constriction, Convergence (eyes coming together to focus)
What could dilated and constricted pupils indicate
Dilated: Drugs/injury/brain trauma
Constricted: drugs/extra light /trauma
Strabismus
Lazy eye
Snellen vision assessment
20/20 vision screening with eye chart. Can you see from 20 feet what the average person sees at 20 feet. Top number is pt and bottom is average person.
Silt lamp
Looks into the back of eye, optic nerve, and blood vessels
Amsler grid
Tests for macular degeneration. Should note if there are any holes appearing in grid or wavy lines.
Macular Degeneration (two types)
Wet and dry, wet is an emergency
What is tonometry
Interoccular pressure (IOP) Normal = 12-22mmhg. Anything above 22 is glaucoma
Normal aging changes with the eye
Lens becomes hard, then we lose accommodation. We lose depth perception
Myopia
Nearsighted
Hyperopia
Farsightedness
Blephartis
Eyelid inflammation
Hordeolum
Acute infection of eyelid margin or sebaceous gland of eyelash. Also called a stye. One or more pustules. Caused by staph.
Chalazion
Generally Not Caused by infection, it is blockage of oil gland. Red bump under eye.
Conjunctivitis
Known as pink eye. Can be caused by bacteria, virus, or allergies
Keratitis
Inflammation of cornea
